THE SCIENTIFIC METHOD
OBSERVATION
PEOPLE ARE DISSATISFIED WITH CURRENT ERGONOMIC OFFICE CHAIRS
Do you ever hear people rave about how great their office chair is? Yeah, neither do we!
So we asked ourselves:
CHAIR, SPECIALIZED OR ERGONOMIC: HSA ELIGIBILITY
CHAIR, SPECIALIZED OR ERGONOMIC: REQUIRES A LETTER OF MEDICAL NECESSITY (LMN) TO BE ELIGIBLE WITH A HEALTH SAVINGS ACCOUNT (HSA)
A specialized or ergonomic chair for treatment of a medical condition may be eligible if accompanied with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA).
HOW DO I USE MY HSA/FSA ACCOUNT TO PAY FOR MY ANTHROS CHAIR?
Since every insurance carrier is different, the process of using your HSA funds will vary.
Call your HSA Administrator to learn the process for your carrier.
Potential processes:
- Get a LMN from a medical professional (MD, PA, NP, Chiropractor)
- Use your HSA/FSA to purchase your Anthros chair online
- Submit your LMN to your HSA/FSA provider
- Get a LMN from a medical professional (MD, PA, NP, Chiropractor)
- Pay out of pocket for your Anthros chair
- Submit receipt and LMN to your provider
- Get reimbursed from your HSA/FSA funds
Have more questions?
QUESTION
CAN WE DESIGN THE WORLD'S BEST OFFICE CHAIR?
HYPOTHESES
- 1 Prove that we can create a back support that increases disc space and reduces disc pressure.
- 2 Prove that we can create a chair that is capable of improving your posture over time.
- 3 Prove that we can create the world’s most comfortable, lowest pressure cushion.
What We used to prove our hypotheses
EXPERIMENT
- Seating Expertise
- Digital 3D Human Modeling+ Simulation Software
- Medically-graded International Testing Standards
- Registered by the FDA as an orthotic device
- Existing Data on the Science of Sitting
The effectiveness of this two-part back system was validated using 3D human modeling. Our testing was based on the Wilke et al. study, which examined intervertebral pressure in a live person in various positions. In their study, they used a pressure transducer inserted into the L4-5 disc.

Biomechanical and tissue modeling performed by Simuserv integrated by Abaqus Unified FEA from Dassault Systèmes
We leveraged cutting-edge 3D human modeling software and collaborated with the esteemed Simuserv Human Modeling team for all our human modeling design and analysis. Simuserv confirmed that disc pressure at L4-5 decreases with the properly adjusted Anthros two-part back system. Additionally, Simuserv observed a significant reduction in L4-5 disc pressures when our two-part back system was used alongside the Anthros tilt feature.
Experiment
Using 3D human modeling, we wanted to see the effect of supporting the pelvis independently in neutral. The goal was to see the spine follow into an “S” curve, which is a healthy anatomical posture for the intervertebral discs, vertebra, and nerve roots.
Experiment: Stages of design
With 70+ years designing wheelchair seat cushions, the knowledge and expertise of caring for the most vulnerable sitting population was brought to the Anthros seat cushion. The design began using anthropometric data, then 3D human simulation was used to adjust the design to achieve the lowest peak pressures possible. It began with contours to match the human shape, but we believed we could get lower pressures than we were seeing. We then created empty pressure relief cutouts in the area under the sit bones and saw a drastic reduction of peak pressures. These domes were then perfected in shape and size to ensure that different shapes and sizes of subjects would experience the same benefits.
2" Flat Foam
Contoured Foam
Contoured Foam with Pressure - Relieving Domes
Experiment
Once we optimized the cushion design using 3D Human modeling to have the lowest sitting pressures (softness), we then validated the virtual design using real foam prototypes at an accredited university. The International Organization for Standardization (ISO) develops standards for all types of products, including wheelchair seat cushions. These standardized tests are established to evaluate how a product performs on measures that impact the user of the product. Anthros chose the University of Pittsburgh School of Health and Rehabilitation Sciences to perform the standardized bench tests on 11 office chair seats to evaluate performance, considering most people sit in these seats for at least 8hrs per day. Since the walking population primarily uses office chairs we focused on the most relatable measure of comfort: average peak sitting pressures.
*Performed on 4/5/25 at the University of Pittsburgh with a rigid load indenter. Human results may vary.
SHEAR Shear is the combination of downward pressure (in sitting, through the buttocks), and horizontal friction (sliding forward in your seat when your skin sticks to the seat and you feel that pull). Imagine a child sliding down a metal slide wearing a bathing suit, with skin sticking to the slide all the way down; this is shear.
CONTACT AREA Contact area represents how much contact the indenter (or person) is making with the seat surface. A higher contact area is desired as it implies greater pressure distribution and lower peak pressures.
= Comfort
PEAK PRESSURE INDEX
Peak pressure implies high pressures in one area. The peak pressure index is what is calculated by averaging the individual sensor results along the simulated IT (sit bones) portion of the testing fixture. Rather than simply taking the single highest value as the peak pressure, one random reading won’t skew the results or the perception of performance. A high peak pressure index is associated with discomfort or pain, so low values are desired.
Analysis
The results of the independent university testing clearly show that the Anthros seat cushion outperforms all other office and gaming chair seat cushions tested.
Peak Pressure Index
This test will record the sitting pressure your body will make with the various seat designs. Think park bench versus a large down feather pillow.
Conclusion
Independent university testing proves that Anthros outperforms industry-leading office chairs in the most common measure of comfort. Anthros has created the most comfortable sitting experience with the lowest peak pressures.
DON’T JUST TAKE OUR WORD FOR IT
SEE WHAT SIMUSERV MANAGING DIRECTOR ALEXANDER SIEFERT HAS TO SAY ABOUT ANTHROS
CONCLUSION
SUMMARY
After years of experiments, collecting data, and existing research, we found we COULD:
- 1 Prove that we can create a back support that increases disc space and reduces disc pressure
- 2 Prove that we can create a chair that improves posture
- 3 Prove that we can create the world’s most comfortable, lowest pressure cushion
CAN WE DESIGN THE WORLD’S BEST OFFICE CHAIR? SCIENCE SAYS YES!
Customize Yours NowDISC SPACE Zhang, L., Helander, M. G., & Drury, C. G. (1996). Identifying factors of comfort and discomfort in sitting. Human Factors, 38(3), 377–389. https://doi.org/10.1518/001872096778701962
Underwood MR, The Use of a Back Teaching Class teaching extension exercises in the treatment of acute low back pain in primary care, Oxford Univ, Great Britain, 1998) (Kreutz, D. (1997). Power tilt, recline or both. Team Rehab Report ,March. 29 – 31.
SUPPORTING THE PELVIS Cohn, 1886; Schoberth, 1969; Branton, 1969; Lee, 2010
Lee H, Yoo W. The mechanical effect of anterior pelvic tilt taping on slump sitting by seated workers. Industrial Health 2011, 49, 403-409.
O’Sullivan P, Dankaerts W, Burnett A, et al. Lumbopelvic kinematics and trunk muscle activity during sitting on stable and unstable surfaces. Journal of Orthopaedic & Sports Physical Therapy 2006b;36(1):19e25
O’Sullivan P, Dankaerts W, Burnett A, et al. Lumbopelvic kinematics and trunk muscle activity during sitting on stable and unstable surfaces. Journal of Orthopaedic & Sports Physical Therapy 2006b;36(1):19e25
Tanoue H, Mitsuhashi T, Sako S, Goto R, Nakai T, Inaba R. Effects of a dynamic chair on pelvic mobility, fatigue, and work efficiency during work performed while sitting: a comparison of dynamic sitting and static sitting. J Phys Ther Sci. 2016 Jun;28(6):1759-63. doi: 10.1589/jpts.28.1759. Epub 2016 Jun 28. PMID: 27390410; PMCID: PMC4932051.
IVD PRESSURE AS IT RELATES TO COMFORT Zhang, L., Helander, M. G., & Drury, C. G. (1996). Identifying factors of comfort and discomfort in sitting. Human Factors, 38(3), 377–389. https://doi.org/10.1518/001872096778701962
Underwood MR, The Use of a Back Teaching Class teaching extension exercises in the treatment of acute low back pain in primary care, Oxford Univ, Great Britain, 1998) (Kreutz, D. (1997). Power tilt, recline or both. Team Rehab Report ,March. 29 – 31.
BODY ADAPTS TO POSTURE OVER TIME Katsman et al. Age-Related Hyperkyphosis: Its Causes, Consequences, and Management. J Orthop Sports Phys Ther. 2010 Jun; 40(6): 352–360.
Kim D, Cho M, Park Y, Yang Y. Effect of an exercise program for posture correction on musculoskeletal pain. J Phys Ther Sci. 2015;27(6):1791-1794. doi:10.1589/jpts.27.1791
Burgess-Limerick, R., A. Plooy, and D. Ankrum, The effect of imposed and self-selected computer monitor height on posture and gaze angle. Clinical Biomechanics, 1998. 13(8): p.584-592.


